Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.23 / $552.54 / $1,008.65	Professional		$346.23	$552.54	$1,008.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $143.80 / $176.20 / $299.02	Professional	26	$143.80	$176.20	$299.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $161.85 / $402.76 / $752.59	Professional	TC	$161.85	$402.76	$752.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $829.56 / $919.83 / $929.53	Professional		$829.56	$919.83	$929.53
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $390.56 / $434.15 / $437.63	Professional	26	$390.56	$434.15	$437.63
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $439.00 / $485.68 / $491.91	Professional	TC	$439.00	$485.68	$491.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $415.50 / $415.50 / $519.38	Professional		$415.50	$415.50	$519.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $193.88 / $193.88 / $242.34	Professional	26	$193.88	$193.88	$242.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $221.63 / $221.63 / $277.02	Professional	TC	$221.63	$221.63	$277.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $237.02 / $299.45 / $635.60	Facility		$237.02	$299.45	$635.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $417.48 / $762.97 / $5,718.36	Professional		$417.48	$762.97	$5,718.36
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $222.60 / $404.60 / $1,098.38	Professional	26	$222.60	$404.60	$1,098.38
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $194.88 / $358.37 / $2,229.25	Professional	TC	$194.88	$358.37	$2,229.25
United Facility/Professional Professional Modifier Low / Median / High Price $354.86 / $354.86 / $762.97	Professional		$354.86	$354.86	$762.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $111.30 / $308.95 / $480.24	Professional	26	$111.30	$308.95	$480.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $165.65 / $337.79 / $358.37	Professional	TC	$165.65	$337.79	$358.37